HospitalInspections.org

Based on observations it was determined that the health care facility failed to maintain the integrity of the spray on fire proofing in the Penthouse.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that the spray on fire proofing in the penthouse was damaged in several places.


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility failed to maintain the rating of room B-306.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that the door to room B-306, soiled utility room, did not have a closer on it.


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations and an interview it was determined that the health care facility failed to maintain the correct operation of a egress doors.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview the back exit door in L & D was locked and there was a locked exit door in the Postpartum area. This door was remote of the nursing station and a staff member stated that they would not be able to hear someone requesting to be let out of the locked exit.


An interview on 3/5/2013 the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility failed to maintain the correct signage for exits in the facility.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that

1. There was no exit sign in the Lab Admin storage hallway.
2. There were insufficient exit signage in the basement mechanical area
3. There was a mislabeled exit sign in the Materials Management warehouse.


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility failed to maintain several sprinkler heads in the facility.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that;
1. There was dust build up on a sprinkler head in room E230.
2. There was spray on fire proofing on a sprinkler head in room E237.
3. There was dust build up on a sprinkler head in the OR admin office.
4. A sprinkler head in the materials management warehouse was obstructed by a light fixture.


An interview on 3/5/2013 with the Maintenance Director confirmed this evidence.

Based on observations it was determined that the health care facility failed to limit the storage in a mechanical room.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that there was storage of combustibles in the basement mechanical room.


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility failed to maintain the integrity of the linen chutes.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that:
1. The linen chute from Post Partum was damaged.
2. The ED linen chute would not latch in the basement


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility failed to provide the required fire extinguisher for the heli-pad.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that there was no fire extinguisher for the heli-pad. Statewide Fire Prevention Code section 1107.7 requires an extinguisher having a minimum rating of 80-BC be provided for each take off and landing area.


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility had various electrical violations.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that;

1. There were daisy chained power strips in room E337.
2. There was damaged conduit in control valve cabinet in the #1 stairwell on the first floor landing.
3. There were daisy chained power strips in the IT Office(x3).


An interview on 3/5/2013 with the maintenance director confirmed these findings.

Based on observations it was determined that the health care facility failed to maintain the integrity of the spray on fire proofing in the Penthouse.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that the spray on fire proofing in the penthouse was damaged in several places.


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility failed to maintain the rating of room B-306.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that the door to room B-306, soiled utility room, did not have a closer on it.


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations and an interview it was determined that the health care facility failed to maintain the correct operation of a egress doors.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview the back exit door in L & D was locked and there was a locked exit door in the Postpartum area. This door was remote of the nursing station and a staff member stated that they would not be able to hear someone requesting to be let out of the locked exit.


An interview on 3/5/2013 the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility failed to maintain the correct signage for exits in the facility.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that

1. There was no exit sign in the Lab Admin storage hallway.
2. There were insufficient exit signage in the basement mechanical area
3. There was a mislabeled exit sign in the Materials Management warehouse.


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility failed to maintain several sprinkler heads in the facility.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that;
1. There was dust build up on a sprinkler head in room E230.
2. There was spray on fire proofing on a sprinkler head in room E237.
3. There was dust build up on a sprinkler head in the OR admin office.
4. A sprinkler head in the materials management warehouse was obstructed by a light fixture.


An interview on 3/5/2013 with the Maintenance Director confirmed this evidence.

Based on observations it was determined that the health care facility failed to limit the storage in a mechanical room.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that there was storage of combustibles in the basement mechanical room.


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility failed to maintain the integrity of the linen chutes.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that:
1. The linen chute from Post Partum was damaged.
2. The ED linen chute would not latch in the basement


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility failed to provide the required fire extinguisher for the heli-pad.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that there was no fire extinguisher for the heli-pad. Statewide Fire Prevention Code section 1107.7 requires an extinguisher having a minimum rating of 80-BC be provided for each take off and landing area.


An interview on 3/5/2013 with the maintenance director confirmed this evidence.

Based on observations it was determined that the health care facility had various electrical violations.

The Findings Include:

On 3/5/2013 it was revealed by observation and interview that;

1. There were daisy chained power strips in room E337.
2. There was damaged conduit in control valve cabinet in the #1 stairwell on the first floor landing.
3. There were daisy chained power strips in the IT Office(x3).


An interview on 3/5/2013 with the maintenance director confirmed these findings.